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The Establishment of a Lung Colonization Assay for Circulating Tumor Cell Visualization in Lung Tissues
Published on: June 16, 2018
CCL5 production in lung cancer cells leads to an altered immune microenvironment and promotes tumor development
Etienne S Melese1, Elizabeth Franks2, Rachel A Cederberg2,3
1Department of Microbiology and Immunology, University of British Columbia, Vancouver, BC, Canada.
Abstract:
Current immunotherapies for lung cancer are only effective in a subset of patients. Identifying tumor-derived factors that facilitate immunosuppression offers the opportunity to develop novel strategies to supplement and improve current therapeutics. We sought to determine whether expression of driver oncogenes in lung cancer cells affects cytokine secretion, alters the local immune environment, and influences lung tumor progression. We demonstrate that oncogenic EGFR and KRAS mutations, which are early events in lung tumourigenesis, can drive cytokine and chemokine production by cancer cells. One of the most prominent changes was in CCL5, which was rapidly induced by KRASG12V or EGFRL858R expression, through MAPK activation. Immunocompetent mice implanted with syngeneic KRAS-mutant lung cancer cells deficient in CCL5 have decreased regulatory T cells (Tregs), evidence of T cell exhaustion, and reduced lung tumor burden, indicating tumor-cell CCL5 production contributes to an immune suppressive environment in the lungs. Furthermore, high CCL5 expression correlates with poor prognosis, immunosuppressive regulatory T cells, and alteration to CD8 effector function in lung adenocarcinoma patients. Our data support targeting CCL5 or CCL5 receptors on immune suppressive cells to prevent formation of an immune suppressive tumor microenvironment that promotes lung cancer progression and immunotherapy insensitivity.
Insights
Oncogenic mutations in lung cancer cells drive CCL5 production, creating an immunosuppressive tumor microenvironment. Targeting CCL5 may improve immunotherapy effectiveness and reduce lung cancer progression.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Current lung cancer immunotherapies benefit only a subset of patients.
- Identifying tumor-derived immunosuppressive factors can lead to improved therapeutic strategies.
- Oncogenic driver mutations are early events in lung tumorigenesis.
Purpose of the Study:
- To investigate if driver oncogene expression in lung cancer cells influences cytokine secretion, the immune microenvironment, and tumor progression.
- To determine the role of specific oncogenes like EGFR and KRAS in mediating these effects.
- To explore the potential of targeting identified factors for therapeutic benefit.
Main Methods:
- Analysis of cytokine and chemokine production in lung cancer cells with oncogenic mutations (EGFR, KRAS).
- Utilizing immunocompetent mouse models with syngeneic KRAS-mutant lung cancer cells (wild-type and CCL5-deficient).
- Correlating CCL5 expression with clinical data from lung adenocarcinoma patients, including immune cell populations and patient prognosis.
Main Results:
- Oncogenic EGFR and KRAS mutations induce cytokine and chemokine production, notably CCL5, via MAPK activation.
- KRAS-mutant lung cancer cells lacking CCL5 showed reduced regulatory T cells (Tregs), less T cell exhaustion, and decreased tumor burden in mice.
- High CCL5 expression in lung adenocarcinoma patients correlates with poor prognosis, increased Tregs, and impaired CD8 effector function.
Conclusions:
- Tumor-derived CCL5 promotes an immunosuppressive lung tumor microenvironment, contributing to immunotherapy resistance.
- Targeting CCL5 or its receptors on immunosuppressive cells presents a potential strategy to overcome immunotherapy insensitivity.
- Modulating the tumor microenvironment by targeting CCL5 could enhance lung cancer treatment outcomes.
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